Provider Demographics
NPI:1164057527
Name:GENERATIONS SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:GENERATIONS SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:DORENE
Authorized Official - Last Name:HAGGADONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:402-366-7103
Mailing Address - Street 1:14 QUAIL CV W
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-8100
Mailing Address - Country:US
Mailing Address - Phone:402-366-7103
Mailing Address - Fax:
Practice Address - Street 1:2011 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1071
Practice Address - Country:US
Practice Address - Phone:402-366-7103
Practice Address - Fax:402-939-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty